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Organization
ERNEST H WONG DMD CORP
Active
Organization
ERNEST H WONG DMD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST H WONG DMD (OWNER, DENTIST)
(510) 828-2834
Entity
Organization
Contact information
Practice address
995 MONTAGUE EXPY STE 217, MILPITAS, CA 95035-6885
(408) 222-3820
Mailing address
995 MONTAGUE EXPY STE 217, MILPITAS, CA 95035-6885
(408) 222-3820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106511
DENTIST
CA
Enumeration date
09/12/2022
Last updated
09/12/2022
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